Therapy of resistant hypertension in patients with chronic kidney disease complications of anemia in hemodialysis: a case report
Chronic Kidney Disease (CKD) is closely related to hypertension. Increasing the severity of CKD is associated with more difficult blood pressure control. Appropriate therapeutic management is needed to prevent complications due to uncontrolled hypertension. We report the case of a 78-year-old female...
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| Format: | Article |
| Language: | Indonesian |
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Poltekkes Kemenkes Yogyakarta
2023-11-01
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| Series: | Jurnal Teknologi Laboratorium |
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| Online Access: | https://teknolabjournal.com/index.php/Jtl/article/view/444 |
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| author | Yenry Sumarlim Emilia Gan Desantika Wuryana M. Hari Pristantiningtyas Herya Putra Dharma Muhammad Muchlis Jainuri Erik Pratama Adji Prayitno Setiadi Marisca Evalina Gondokesumo |
| author_facet | Yenry Sumarlim Emilia Gan Desantika Wuryana M. Hari Pristantiningtyas Herya Putra Dharma Muhammad Muchlis Jainuri Erik Pratama Adji Prayitno Setiadi Marisca Evalina Gondokesumo |
| author_sort | Yenry Sumarlim |
| collection | DOAJ |
| description | Chronic Kidney Disease (CKD) is closely related to hypertension. Increasing the severity of CKD is associated with more difficult blood pressure control. Appropriate therapeutic management is needed to prevent complications due to uncontrolled hypertension. We report the case of a 78-year-old female patient with a diagnosis of hypertension and end-stage CKD with a history of undergoing hemodialysis for 4 years. The patient has been taking antihypertensive drugs such as Angiotensin Receptor Blockers, Calcium Channel Blockers and Diuretics. However, the administration of three antihypertensive drugs still could not help achieve the expected blood pressure target where the systolic blood pressure was still above 160 mmHg. The patient also has anemia as a common complication of chronic kidney disease. Appropriate management of therapy with fourth-line therapy and hemoglobin repair is necessary to achieve improved clinical outcomes and reduce renal worsening. |
| format | Article |
| id | doaj-art-8d44e1ab7f1241d584c019b7f2a9287b |
| institution | Kabale University |
| issn | 2338-5634 2580-0191 |
| language | Indonesian |
| publishDate | 2023-11-01 |
| publisher | Poltekkes Kemenkes Yogyakarta |
| record_format | Article |
| series | Jurnal Teknologi Laboratorium |
| spelling | doaj-art-8d44e1ab7f1241d584c019b7f2a9287b2025-01-03T15:40:12ZindPoltekkes Kemenkes YogyakartaJurnal Teknologi Laboratorium2338-56342580-01912023-11-01122616510.29238/teknolabjournal.v12i2.444396Therapy of resistant hypertension in patients with chronic kidney disease complications of anemia in hemodialysis: a case reportYenry Sumarlim0Emilia Gan1Desantika Wuryana2M. Hari Pristantiningtyas3Herya Putra Dharma4Muhammad Muchlis5Jainuri Erik Pratama6Adji Prayitno Setiadi7Marisca Evalina Gondokesumo8University of SurabayaUniversity of SurabayaMardi Waluyo Regional Public HospitalMardi Waluyo Regional Public HospitalMardi Waluyo Regional Public HospitalRegional Public HospitalDr. Kariadi Central General HospitalUniversity of SurabayaUniversitas SurabayaChronic Kidney Disease (CKD) is closely related to hypertension. Increasing the severity of CKD is associated with more difficult blood pressure control. Appropriate therapeutic management is needed to prevent complications due to uncontrolled hypertension. We report the case of a 78-year-old female patient with a diagnosis of hypertension and end-stage CKD with a history of undergoing hemodialysis for 4 years. The patient has been taking antihypertensive drugs such as Angiotensin Receptor Blockers, Calcium Channel Blockers and Diuretics. However, the administration of three antihypertensive drugs still could not help achieve the expected blood pressure target where the systolic blood pressure was still above 160 mmHg. The patient also has anemia as a common complication of chronic kidney disease. Appropriate management of therapy with fourth-line therapy and hemoglobin repair is necessary to achieve improved clinical outcomes and reduce renal worsening.https://teknolabjournal.com/index.php/Jtl/article/view/444hypertensionchronic kidney diseaseanemiahemodialysis |
| spellingShingle | Yenry Sumarlim Emilia Gan Desantika Wuryana M. Hari Pristantiningtyas Herya Putra Dharma Muhammad Muchlis Jainuri Erik Pratama Adji Prayitno Setiadi Marisca Evalina Gondokesumo Therapy of resistant hypertension in patients with chronic kidney disease complications of anemia in hemodialysis: a case report Jurnal Teknologi Laboratorium hypertension chronic kidney disease anemia hemodialysis |
| title | Therapy of resistant hypertension in patients with chronic kidney disease complications of anemia in hemodialysis: a case report |
| title_full | Therapy of resistant hypertension in patients with chronic kidney disease complications of anemia in hemodialysis: a case report |
| title_fullStr | Therapy of resistant hypertension in patients with chronic kidney disease complications of anemia in hemodialysis: a case report |
| title_full_unstemmed | Therapy of resistant hypertension in patients with chronic kidney disease complications of anemia in hemodialysis: a case report |
| title_short | Therapy of resistant hypertension in patients with chronic kidney disease complications of anemia in hemodialysis: a case report |
| title_sort | therapy of resistant hypertension in patients with chronic kidney disease complications of anemia in hemodialysis a case report |
| topic | hypertension chronic kidney disease anemia hemodialysis |
| url | https://teknolabjournal.com/index.php/Jtl/article/view/444 |
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